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Heavy Drinking and Treatment among HIV/HCV Co-Infected Patients

Jennifer C Elliott1,2, Noga Shalev3, Deborah S Hasin1,2,4

  • 1New York State Psychiatric Institute, USA.

Journal of Substance Abuse and Alcoholism
|January 4, 2019
PubMed

Insights

Individuals with HIV/HCV co-infection who drink despite health problems access less Hepatitis C virus treatment. This drinking pattern may identify those at risk of being untreated.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • Hepatitis C virus (HCV) treatments are highly effective.
  • Individuals with HIV/HCV co-infection represent a high-risk population.
  • Understanding barriers to HCV treatment access is crucial for this group.

Purpose of the Study:

  • To investigate the relationship between alcohol consumption and HCV treatment access in patients with HIV/HCV co-infection.
  • To identify specific drinking patterns associated with reduced treatment engagement.

Main Methods:

  • A survey was administered to 210 patients at a sexual health clinic.
  • 39 patients with HIV/HCV co-infection completed self-report measures on drinking and HCV treatment history.
  • Statistical analyses examined the association between drinking behaviors and HCV treatment outcomes.

Main Results:

  • Patients reporting drinking despite health problems had significantly lower HCV treatment rates (p = 0.035).
  • Drinking despite health problems was not associated with provider recommendation for HCV treatment.
  • Binge drinking and general alcohol consumption did not correlate with HCV treatment access or HIV treatment.

Conclusions:

  • Alcohol consumption, particularly drinking despite health problems, is linked to reduced access to Hepatitis C virus treatment among those with HIV/HCV co-infection.
  • The pattern of drinking despite health problems may serve as a valuable screening tool to identify untreated individuals.
  • Interventions targeting alcohol reduction and treatment engagement are urgently needed for this vulnerable population.
Abstract

Keywords:
AlcoholDrinkingHIVHepatitis CTreatment

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